St.Mary, Gordon Alexander
St.Mary, Gordon Alexander is an sole proprietor health care provider with primary practice located at 10929 South St Ste 202B , Cerritos CA 90703-5368. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. St.Mary, Gordon Alexander can be contacted via phone (818) 326-3816.Contact Information
Primary practice address
10929 South St Ste 202B
Cerritos CA 90703-5368
Phone: (818) 326-3816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY17475 | California |
Profile Details
| NPI number | 1164430229 |
|---|---|
| LBN Legal business name | St.Mary, Gordon Alexander |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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